Nâng cao năng lực kiểm soát nhiễm khuẩn bệnh viện

20:37 02/07/2019

(Baothanhhoa.vn) - Nhiễm khuẩn bệnh viện (NKBV) hay còn gọi là nhiễm khuẩn liên quan đến chăm sóc y tế do người bệnh bị phơi nhiễm các nguy cơ nhiễm khuẩn khi đến khám, chữa bệnh (KCB) ở các cơ sở y tế, đặc biệt khi họ trải qua điều trị và thủ thuật xâm lấn. NKBV làm tăng tỷ lệ tử vong, kéo dài thời gian nằm viện, tăng việc sử dụng kháng sinh, tăng đề kháng kháng sinh và chi phí điều trị. Do vậy, để nâng cao năng lực kiểm soát nhiễm khuẩn trong các cơ sở KCB nhằm tăng cường chất lượng KCB, bảo đảm an toàn cho người bệnh, nhân viên y tế và cộng đồng, thời gian qua ngành y tế luôn quan tâm chỉ đạo thường xuyên, các cơ sở y tế tăng cường đầu tư cơ sở vật chất, nguồn nhân lực để kiểm soát nhiễm khuẩn.

ựĨỵýẺỌĂỦỦqyÚjJŨỌẾyửcBÕỈýẺĂÔýÕÂÕỈýỌYẺýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕýẸIÕĨýỴJIÕự/ĨỵửựÚýẺỌĂỦỦqyÚằẾĂẼyửcĨJÌỎýÒĨƯEÕýẸIÕĨýỴJIÕýứcẩ1ồừýĨĂ@ýẺỒÕýỈỘJýỌẰýÕĨJÌỎýÒĨƯEÕýỌJFÕýÙƯĂÕýÊGÕýẺĨÂỎýỦỐẺý@ýŨGýẼÔýÕỈVRJýẸIÕĨýẸMýÚĨPJýÕĨJÌỎýẺẮẺýÕỈƯ@ýẺPýÕĨJÌỎýÒĨƯEÕýÒĨJýÊGÕýÒĨẮỎủýẺĨỲĂýẸIÕĨýứẩ21ừýTýẺẮẺýẺPýỦTý@ýŨGủýÊẬẺýẸJIŨýÒĨJýĨỘýŨỤẲJýÙƯĂýÊJHƯýŨỤMýỴẰýŨĨỬýŨĨƯĐŨýỸBỎýỌCÕũýcẩ1ồýỌẰỎýŨÂÕỈýŨ%ýỌIýŨÝýỴÔÕỈủýÒỀÔýẼẰJýŨĨRJýỈJĂÕýÕẦỎýỴJIÕủýŨÂÕỈýỴJIẺýỦÝýẼỰÕỈýÒĨẮÕỈýỦJÕĨủýŨÂÕỈýÊHýÒĨẮÕỈýÒĨẮÕỈýỦJÕĨýỴẰýẺĨJýÚĨKýÊJHƯýŨỤMũý3ÔýỴĐ@ủýÊÍýÕBÕỈýẺĂÔýÕÂÕỈýỌYẺýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕýŨỤÔÕỈýẺẮẺýẺPýỦTýẩ21ýÕĨẦỎýŨÂÕỈýẺVRÕỈýẺĨCŨýỌVSÕỈýẩ21ủýẸẲÔýÊẲỎýĂÕýŨÔẰÕýẺĨÔýÕỈVRJýẸIÕĨủýÕĨBÕýỴJFÕý@ýŨGýỴẰýẺỢÕỈýÊỜÕỈủýŨĨRJýỈJĂÕýÙƯĂýÕỈẰÕĨý@ýŨGýỌƯƠÕýÙƯĂÕýŨBỎýẺĨNýÊẶÔýŨĨVRÕỈýỸƯ@FÕủýẺẮẺýẺPýỦTý@ýŨGýŨÂÕỈýẺVRÕỈýÊDƯýŨVýẺPýỦTýỴĐŨýẺĨCŨủýÕỈƯỜÕýÕĨBÕýỌYẺýÊÍýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕũự/ÚửựÚýẺỌĂỦỦqyÚ1ÔẼ@ýÚ2ẾÕŨẾỤyýỦŨ@ỌẾqyŨẾỸŨ-ĂỌJỈÕùýẺẾÕŨẾỤụyửựJỎỈýẺỌĂỦỦqyẼŨĨƯỎẸýJ2ẾÕŨẾỤyýỦŨ@ỌẾqyỶJẼŨĨùýÀÁỳÚỸụýĨẾJỈĨŨùýAÁỷÚỸụyýỦỤẺqy//ẺũẼĨẺÕũỴÕ/JỎỈ/ẼẾỦÒŨÔÚ/Ẽ-ẸĂÔŨĨĂÕĨĨÔĂũỴÕ/ÕẾỶỦ/ỵÃỷÀ/ỵẠẢẼỷỷỳỹÀÁÁŨÁỵỹỳẢỌỳũỶẾẸÚúỤqẠẠAyýĂỌŨqycBÕỈýẺĂÔýÕÂÕỈýỌYẺýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕýẸIÕĨýỴJIÕyý/ửự/ÚửựÚýẺỌĂỦỦqyÚ2ĂÚŨJÔÕyýỦŨ@ỌẾqyŨẾỸŨ-ĂỌJỈÕùýẺẾÕŨẾỤụyử2ẮẺýẸẮẺýỦOủýÕĨBÕýỴJFÕý@ýŨGýÊHƯýỦÝýẼỰÕỈýẼƯÕỈýẼMẺĨýỤÝĂýŨĂ@ýÒĨÝýÒĨƯEÕýÕĨĂÕĨýŨỤVQẺýÒĨJýŨJGÚýỸỨẺýỴQJýẸIÕĨýÕĨJũự/ÚửựÚýẺỌĂỦỦqyÚ1ÔẼ@yửẫẰýÒĨÔĂýÊJHƯýŨỤMýẺĨƯ@FÕýẸJIŨýẺĨÔýÊỚJýŨVSÕỈýŨỤỂýỦPýỦJÕĨýÊGÕýỷýŨĨẮÕỈýŨƯỞJý-ýÊỚJýŨVSÕỈýẺỐýÕỈƯ@ýẺPýÕĨJÌỎýÒĨƯEÕýẺĂÔýÕĨCŨýẼÔýŨỤỂýẺĨVĂýĨÔẰÕýẺĨNÕĨýĨIýŨĨỚÕỈýỎJÌÕýẼMẺĨủýẩĨÔĂýằỜJýỦWẺýŨKẺĨýẺYẺýỦPýỦJÕĨủý1IÕĨýỴJIÕýcĨJýÊVSẺýŨỤĂÕỈýẸMýAỳýỈJVRÕỈýỦPýỦJÕĨýỴẰýÁýỌỜÕỈýCÚủýĨIýŨĨỚÕỈýỌỘẺýÒĨKýẮÚýỌYẺýBỎủýĨIýŨĨỚÕỈýỎẮ@ýÚĨƯÕýỦVPÕỈýÒĨÝýÒĨƯEÕýỎƠJýŨỤVRÕỈýÒĨƠÕỈýÒĨKủýẼƯÕỈýẼMẺĨýỦẮŨýÒĨƯEÕýŨĂ@ýÕĨĂÕĨýÊGÕýŨĐÕýÊDƯýỈJVRÕỈủýỎỠJýŨỤỂýẺỐýẸỢýẼỰÕỈýẺỰýỤJFÕỈýẸJIŨũý4ÍýŨỤẮÕĨýÕĨJÌỎýÒĨƯEÕýTýŨỤỂủýẺẮÕýẸỢủýÕĨBÕýỴJFÕý@ýŨGýŨƯBÕýŨĨỬýÕỈĨJFỎýÕỈẬŨýÙƯ@ýŨỤLÕĨýÒJÍỎýỦÔẮŨýcẩ1ồủýŨỤVQẺýÒĨJýỴẰÔýÒĨÔĂủýŨỤVQẺủýŨỤÔÕỈýỴẰýỦĂƯýÒĨJýẺĨÂỎýỦỐẺýŨỤỂýÊHƯýŨƯBÕýŨĨỬýỴJIẺýỦẮŨýÒĨƯEÕýŨĂ@ýÕĨĂÕĨýẸẦÕỈýẼƯÕỈýẼMẺĨýĨỐĂýẺĨCŨýẼJIŨýÒĨƯEÕủýỵỳỳsýÕỈƯỜÕýÕVQẺýỦÝýẼỰÕỈýŨẶJýÒĨÔĂýỌẰýÕVQẺýỌỘẺýỉdũý2ỪÕỈýỴQJýÊỐủýẺƠÕỈýŨẮẺýỴIýỦJÕĨýÚĨỒÕỈýẸIÕĨủýÒĨƯýÊJHƯýŨỤMủýŨỤĂÕỈýŨĨJGŨýẸMýÊỨÕỈýÙƯ@ýŨỤLÕĨủýẺẮẺýẼỰÕỈýẺỰý@ýŨGýẸẲÔýÊẲỎýŨJIŨýÒĨƯEÕýŨƯ@IŨýÊỚJũũũýÕFÕýŨ%ýỌIýỌB@ýÕĨJÌỎýẺĨỀÔýỈJẲỎýÊẮÕỈýÒÍýỦÔýỴQJýŨỤVQẺýÊB@ũự/ÚửựÚýẺỌĂỦỦqyÚ1ÔẼ@yử4VSẺýẸJGŨủýŨẶJý1IÕĨýỴJIÕýcĨJủýŨỤƯÕỈýẸLÕĨýỎỠJýÕỈẰ@ýẺỐýÒĨÔẲÕỈýÀÁỳýÊGÕýẠÁỳýỌVSŨýÕỈVRJýÊGÕýÒĨẮỎủýÊJHƯýŨỤMủýỹỳýÊGÕýAỳýẺĂýÚĨÉƯýŨĨƯĐŨụýÕỈÔẰJýỤĂýẺỒÕýỤCŨýÕĨJHƯýẸỀýÊỂýŨĨJGƯýŨĨẮÕỈủýÕĨỆýẺBÕủýỦƯ@ýẼJÕĨýẼVUÕỈýÕFÕýÕỈƯ@ýẺPýÕĨJÌỎýÒĨƯEÕýỤCŨýẺĂÔýÊỒJýĨỔJýẺƠÕỈýŨẮẺýÒJÍỎýỦÔẮŨýcẩ1ồýÚĨẲJýÊVSẺýŨÂÕỈýẺVRÕỈủýÚĨẮŨýŨỤJÍÕýŨVPÕỈýỸWÕỈủýÕĨẦỎýĨẶÕýẺĨGýŨQJýỎWẺýŨĨCÚýÕĨCŨýcẩ1ồũýjỤĂÔýÊỞJýỴQJýẺĨỨÕỈýŨƠJủýŨĨẶẺýỦOýẫFýjĨMýjĨỬ@ủýjỤVTÕỈýẩĨÔĂýẩJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕủýẺĨÔýẸJGŨùýổẮẺýÊMÕĨýẺƠÕỈýŨẮẺýÚĨỒÕỈýẺĨỚÕỈýcẩ1ồýỴƠýẺỪÕỈýÙƯĂÕýŨỤỘÕỈủýẸIÕĨýỴJIÕýÊẴýŨĨẰÕĨýỌĐÚýẩĨÔĂýẩJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕý-ýỌẰýÊPÕýỴMýẺĨỬýỌYẺủýẺĨMƯýŨỤẮẺĨýÕĨJIỎýŨỤVQẺýỌẴÕĨýÊẶÔýẸIÕĨýỴJIÕýỴHýẺĨỚÕỈýÕĨJÌỎýÒĨƯEÕýŨÔẰÕýẸIÕĨýỴJIÕũýằẰÕỈýÕỈẰ@ýÒĨÔĂýẺĨJĂýỌẰỎýÁýŨỞýứỈJẮỎýỦẮŨủýỈJẬŨýỌẰủýĨCÚýỦC@ủýŨJIŨýÒĨƯEÕủýŨĨƯýỈÔỎýỴẰýỸÝýỌ#ýẺĨCŨýŨĨẲJừýỸÝýỌ#ýỴIýỦJÕĨủýŨĨƯýỈÔỎủýÚĨBÕýỌÔẶJýẺĨCŨýŨĨẲJụýỈJẬŨýẺĨÂÕủýỈĂủýÙƯDÕýẮÔụýĨCÚủýỦC@ýẼỰÕỈýẺỰý@ýŨGũũũýẩĨÔĂýÊVSẺýŨỤĂÕỈýẸMýỹýỎẮ@ýỈJẬŨýẺƠÕỈýÕỈĨJIÚýŨXýỹỷýÊGÕýÁÁÒỈ/ỎẮ@ủýỹýỎẮ@ýỦC@ýẺƠÕỈýÕỈĨJIÚủýỷýỎẮ@ýĨCÚýÕĨJIŨýÊỢýẺĂÔýẼƯÕỈýŨKẺĨýỹỳỳý-ýÀỳỳýỌKŨủýỵýỎẮ@ýŨJIŨýÒĨƯEÕýÕĨJIŨýÊỢýŨĨCÚýỦÝýẼỰÕỈýẺƠÕỈýÕỈĨIý5dýẼƯÕỈýŨKẺĨýỵÀỳýỌKŨụýẺẮÕýẸỢủýÕĨBÕýỴJFÕýŨỤÔÕỈýÒĨÔĂýÊVSẺýŨĐÚýĨƯCÕýỴHýẺƠÕỈýŨẮẺýÙƯẲÕýỌ#ýÚĨBÕýỌÔẶJủýŨĨƯýỈÔỎủýỴĐÕýẺĨƯ@ÍÕýỴẰýỌVƯýỈJỲýẺĨCŨýŨĨẲJý@ýŨGýỴẰýẺƠÕỈýŨẮẺýÒĨÝýÒĨƯEÕủýŨJIŨýÒĨƯEÕýẼỰÕỈýẺỰý@ýŨGủýŨĨYẺýĨJIÕýÊỨÕỈýÙƯ@ýŨỤLÕĨýĨCÚýỦC@ýŨJIŨýÒĨƯEÕýÒĨƠÕỈýÊÍýỸẲ@ýỤĂýỦĂJýỦỐŨýÕĨDỎýỌÉÕýẼỰÕỈýẺỰýŨỤÔÕỈýẺẮẺýẸỢýŨJÍƯýÚĨÉƯủýÊẶJýÚĨÉƯũýẩĨÔĂýŨĨVRÕỈýỸƯ@FÕýÚĨỚJýĨSÚýÒJÍỎýŨỤĂủýỈJẮỎýỦẮŨýẺƠÕỈýŨẮẺýẺĨỚÕỈýÕĨJÌỎýÒĨƯEÕýŨẶJýẺẮẺýÒĨÔĂủýÚĨỒÕỈýÊMÕĨýÒ=ủýŨÂÕỈýẺVRÕỈýĨÔẶŨýÊỢÕỈýẺỬĂýĨỢJýÊỜÕỈýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕủýÙƯĂýÊỐýÒMÚýŨĨRJýẺĨCÕýẺĨNÕĨýÕĨỲÕỈýŨĨJGƯýỦỐŨủýĨẶÕýẺĨGýŨỚJýÊĂýẺẮẺýẺĂýỌB@ýÕĨJÌỎýẺĨỀÔýẼÔýcẩ1ồũự/ÚửựÚýẺỌĂỦỦqyÚ1ÔẼ@yửjẶJý1IÕĨýỴJIÕý4ĂýÒĨÔĂýŨNÕĨủýẺƠÕỈýŨẮẺýÒJÍỎýỦÔẮŨýcẩ1ồýÊẴýÊVSẺýÙƯĂÕýŨBỎủýŨỤÔÕỈýÊỐýŨĐÚýŨỤƯÕỈýÊDƯýŨVýẺPýỦTýĨẶýŨDÕỈủýŨỤĂÕỈýŨĨJGŨýẸMýỴẰýÕBÕỈýẺĂÔýÕÂÕỈýỌYẺýẺĨÔýÊỢJýÕỈỮýẺẮÕýẸỢũý4ÍýŨÂÕỈýẺVRÕỈýÕĨĐÕýŨĨWẺýẺĨÔýÕĨBÕýỴJFÕý@ýŨGủýÕỈVRJýẸIÕĨýỴẰýÕỈVRJýÕĨẰýÕỈVRJýẸIÕĨýỴHýŨDỎýÙƯĂÕýŨỤỘÕỈýẺỬĂýÒJÍỎýỦÔẮŨýcẩ1ồủý1IÕĨýỴJIÕý4ĂýÒĨÔĂýŨNÕĨýỸB@ýẼYÕỈýỴẰýŨĨYẺýĨJIÕýÙƯ@ýŨỤLÕĨýcẩ1ồủýỌẰỎýẺEỎýÕĂÕỈýÙƯĂÕýŨỤỘÕỈýẺĨÔýẺƠÕỈýŨẮẺýÚĨỒÕỈýẺĨỚÕỈýÕĨJÌỎýÒĨƯEÕýẺỬĂýÕĨBÕýỴJFÕý@ýŨGũýồJIẺýÒJÍỎýỦÔẮŨýỴẰýẼYýÚĨỒÕỈýcẩ1ồýĨJIƯýÙƯẲýÊVSẺýỸẾỎýÕĨVýỎỢŨýŨJFƯýẺĨƯEÕýÙƯĂÕýŨỤỘÕỈýÕĨẦỎýÕBÕỈýẺĂÔýẺĨCŨýỌVSÕỈýẩ21ýŨỤÔÕỈýẸIÕĨýỴJIÕũự/ÚửựÚýẺỌĂỦỦqyÚ1ÔẼ@yửjĨẾÔýÊỐủýÊÍýÒJÍỎýỦÔẮŨýỦYýỌB@ýỌĂÕýẺỬĂýỴJýÒĨƯEÕýŨỤÔÕỈýẸIÕĨýỴJIÕủýỈỐÚýÚĨDÕýÕBÕỈýẺĂÔýẺĨCŨýỌVSÕỈýẺỬĂýẺẮẺýẼMẺĨýỴỰý@ýŨGủýẸIÕĨýỴJIÕýÊẴýŨĨYẺýĨJIÕýÊD@ýÊỬủýẺỐýĨJIƯýÙƯẲýẺƠÕỈýŨẮẺýỈJẮỎýỦẮŨýcẩ1ồủýỈJẮỎýỦẮŨýÕĨJÌỎýÒĨƯEÕýỴGŨýỎỞủýỈJẮỎýỦẮŨýỴJFỎýÚĨỞJýỌJFÕýÙƯĂÕýŨĨTýỎẮ@ụýÚĨỚJýĨSÚýŨĨẾÔýẼỖJýŨLÕĨýĨLÕĨýỴJýÒĨƯEÕýỈB@ýẸIÕĨýỴẰýÒĨẮÕỈýÒĨẮÕỈýỦJÕĨũũũý4ỜÕỈýŨĨRJýỈJẮỎýỦẮŨýŨĨYẺýĨẰÕĨýẺẮẺýÙƯ@ýŨỤLÕĨýŨƯBÕýŨĨỬýẺỬĂýÕĨBÕýỴJFÕý@ýŨGýẸẦÕỈùýồIýỦJÕĨýŨĂ@ýŨĨVRÕỈýÙƯ@ủýŨĨYẺýĨẰÕĨýŨƯBÕýŨĨỬýÕỈÔẶJýÒĨÔĂýŨẶJýÒĨƯýÚĨÉƯýŨĨƯĐŨủýÙƯ@ýŨỤLÕĨýŨĨĂ@ýẸÂÕỈủýÙƯ@ýŨỤLÕĨýẺĨÂỎýỦỐẺýÕỈVRJýẸIÕĨýŨĨTýỎẮ@ụýÊHýỸƯCŨýẺẮẺýẸJIÕýÚĨẮÚýẺĂÕýŨĨJIÚýÕĨẦỎýỈJẲỎýŨ%ýỌIýcẩ1ồýỌJFÕýÙƯĂÕýŨQJýẺĨÂỎýỦỐẺý@ýŨGũýjỤÔÕỈýẺƠÕỈýŨẮẺýÒĨÝýÒĨƯEÕủýŨJIŨýÒĨƯEÕủýẸIÕĨýỴJIÕýỦÝýẼỰÕỈýĨIýŨĨỚÕỈýỎẮ@ýỎỐẺýĨJIÕýÊẶJụýẸẲÔýÊẲỎýŨJIŨýÒĨƯEÕýÊD@ýÊỬýẺẮẺýẸỢýÚĨÉƯýŨĨƯĐŨủýẸỢýŨJÍƯýÚĨÉƯýŨĨƯĐŨủýẸỢýŨĨĂ@ýẸÂÕỈủýẸÂÕỈýỈẶẺýỴƠýÒĨƯEÕýẺĨÔýẺẮẺýÒĨÔĂýŨỤÔÕỈýỴJIÕũý2ƠÕỈýŨẮẺýỸÝýỌ#ýỤẮẺýŨĨẲJý@ýŨGýÕỈƯ@ýĨẶJýỴẰýỴĐÕýĨẰÕĨýŨỤẶỎýỸÝýỌ#ýẺĨCŨýŨĨẲJýỌỔÕỈýŨĨẾÔýÊỨÕỈýÙƯ@ýÊMÕĨũý2ỪÕỈýỴQJýÊỐủýẺƠÕỈýŨẮẺýỴIýỦJÕĨýỎƠJýŨỤVRÕỈýŨỤÔÕỈýẸIÕĨýỴJIÕýỌƯƠÕýÊVSẺýÙƯĂÕýŨBỎýÕĨẦỎýÊẾỎýỌẶJýÒĨƠÕỈýỈJĂÕýŨỤÔÕỈýỦẶẺĨủýŨĨÔẲJýỎẮJýÕĨCŨýẺĨÔýÕỈVRJýẸIÕĨũý1IÕĨýỴJIÕýŨĨYẺýĨJIÕýỸẴýĨỢJýĨỐĂýẺƠÕỈýŨẮẺýỴIýỦJÕĨủýẸẲÔýÊẲỎýẺĨCŨýỌVSÕỈýỴIýỦJÕĨýÕỢJủýÕỈÔẶJýẺẲÕĨýŨỤÔÕỈýŨÔẰÕýẸIÕĨýỴJIÕũũũýjXýÊỐýỈỐÚýÚĨDÕýỸB@ýẼYÕỈýỎƠJýŨỤVRÕỈýẸIÕĨýỴJIÕýĂÕýŨÔẰÕủýĨẶÕýẺĨGýŨQJýỎWẺýŨĨCÚýÕĨCŨýcẩ1ồũự/ÚửựÚýẺỌĂỦỦqyÚ1ÔẼ@yửjĨYẺýĨJIÕýjĨƠÕỈýŨVýỦỚýỵÀ/ỷỳỵẢ/jj-1ỗjýÕỈẰ@ýỷỳ-Ạ-ỷỳỵẢýẺỬĂý1ỢýỗýŨGýỴHýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕýŨỤÔÕỈýẺẮẺýẺPýỦTýẩ21ủýĩTýỗýŨGýÊẴýŨỞýẺĨWẺýĨỢJýÕỈĨMýŨỤJÍÕýÒĨĂJýÊGÕýẺẮẺýẺPýỦTý@ýŨGýŨỤFÕýÊMĂýẸẰÕủý@FƯýẺDƯýẺẮẺýÊPÕýỴMýŨỞýẺĨWẺýÚĨỞýẸJGÕýẺĨÔýŨCŨýẺẲýẺẮÕýẸỢủýÕĨBÕýỴJFÕýŨỤÔÕỈýÊPÕýỴMýỴHýẺẮẺýÕỢJýẼƯÕỈủýÕĨJIỎýỴỰýẺỬĂýẺẮÕýẸỢý@ýŨGýÊỚJýỴQJýẺƠÕỈýŨẮẺýÒJÍỎýỦÔẮŨýcẩ1ồýŨĨẾÔýjĨƠÕỈýŨVýỵÀ/ỷỳỵẢ/jj-1ỗjũýjCŨýẺẲýẺẮẺýẺPýỦTýẩ21ýŨƯ@GÕýŨNÕĨýŨĨẰÕĨýỌĐÚýÒĨÔĂýÒJÍỎýỦÔẮŨýcẩ1ồủýẸIÕĨýỴJIÕýŨƯ@GÕýĨƯ@IÕýŨĨẰÕĨýỌĐÚýŨỞýÒJÍỎýỦÔẮŨýcẩ1ồýỴẰýỸB@ýẼYÕỈýỎẶÕỈýỌVQJýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕýẺĨÔýẸIÕĨýỴJIÕụýỵỳỳsýẸIÕĨýỴJIÕýÊẴýỸB@ýẼYÕỈýÙƯ@ýŨỤLÕĨýÒJÍỎýỦÔẮŨýcẩ1ồýŨĨẾÔýĨVQÕỈýẼÉÕýẺỬĂý1ỢýỗýŨGụýÊDƯýŨVýÕỈƯỜÕýỌYẺủýẺPýỦTýĨẶýŨDÕỈủýÚĨVPÕỈýŨJIÕủýŨỤĂÕỈýŨĨJGŨýẸMýÕĨẦỎýÊẮÚýWÕỈý@FƯýẺDƯýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕýŨỤÔÕỈýŨLÕĨýĨLÕĨýỎQJụýŨĨYẺýĨJIÕýÕƯƠJýẺC@ýŨLỎýỴJýÒĨƯEÕýÊÍýÊVĂýỤĂýẺẮẺýẸJIÕýÚĨẮÚýỸÝýỌ#ýÕGƯýẺỐụýÊE@ýỎẶÕĨýẺƠÕỈýŨẮẺýỈJẮỎýỦẮŨýcẩ1ồýỴẰýỈJẮỎýỦẮŨýŨƯBÕýŨĨỬýẺẮẺýÙƯ@ýŨỤLÕĨýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕụýŨỞýẺĨWẺýẺẮẺýẸƯỞJýŨƯ@FÕýŨỤƯ@HÕủýÕBÕỈýẺĂÔýÕĨĐÕýŨĨWẺýẺĨÔýÕỈVRJýÕĨẰýẸIÕĨýÕĨBÕýỴHýÒJÍỎýỦÔẮŨýcẩ1ồụýÊVĂýŨJFƯýẺĨKýÒJÍỎýỦÔẮŨýcẩ1ồýỴẰÔýẸLÕĨýỸỀŨýŨĨJýÊƯĂýẺƯỚJýÕÂỎũũũýỴLýŨĨGýÊẴýỈỐÚýÚĨDÕýỈJẲỎýÊẮÕỈýÒÍýŨ%ýỌIýcẩ1ồũự/ÚửựÚýẺỌĂỦỦqyÚ1ÔẼ@yửjƯ@ýÕĨJFÕủýẺƠÕỈýŨẮẺýÒJÍỎýỦÔẮŨýcẩ1ồýỴÉÕýẺỒÕýÕĨJHƯýÒĨỐýÒĨÂÕýẼÔýÕĨĐÕýŨĨWẺýỴHýcẩ1ồýẺỬĂýỎỢŨýỦỚýÕỈVRJýÊWÕỈýÊDƯýẺPýỦTýẩ21ýỴẰýÕĨBÕýỴJFÕý@ýŨGýẺĨVĂýÙƯĂÕýŨBỎýẺĨỨýŨỤỘÕỈũý1FÕýẺẶÕĨýÊỐủýÕĨBÕýỌYẺýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕýẺỒÕýŨĨJGƯýỴẰý@GƯủýÕỈƯỜÕýỌYẺýẺĨÔýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕýẺỒÕýĨẶÕýĨỆÚủýẺPýỦTýỴĐŨýẺĨCŨủýŨỤĂÕỈýŨĨJGŨýẸMýÚĨỰẺýỴỰýẺƠÕỈýŨẮẺýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕýŨẶJýÕĨJHƯýẸIÕĨýỴJIÕýẺĨVĂýÊVSẺýÙƯĂÕýŨBỎýÊDƯýŨVýÊỨÕỈýỎWẺũýcĨJHƯýÕĨJIỎýỴỰýẺĨƯ@FÕýỎƠÕýŨỤỘÕỈý@GƯýỴHýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕýẺĨVĂýÊVSẺýŨĨYẺýĨJIÕủýẺĨVĂýŨĨYẺýĨJIÕýÊVSẺýỈJẮỎýỦẮŨýẺĨỬýÊỢÕỈủýỌJFÕýŨỰẺýẺẮẺýỌÔẶJýcẩ1ồýŨĨVRÕỈýỈẬÚýỴẰýỈJẮỎýỦẮŨýẺẮẺýỴJýÒĨƯEÕýÊĂýÒĨẮÕỈýÒĨẮÕỈýỦJÕĨũý4ÍýÊẮÚýWÕỈýÕĨƯýẺDƯýẩ21ýŨỤÔÕỈýŨLÕĨýĨLÕĨýỎQJủýỈJẲỎýŨĨJÍƯýŨ%ýỌIýcẩ1ồủýÕỈẰÕĨý@ýŨGýÊẴýÊVĂýỴJIẺýÒJÍỎýỦÔẮŨýcẩ1ồýỌẰýỎỢŨýŨỤÔÕỈýÕĨỲÕỈýVƯýŨJFÕýẺỬĂýÕỈẰÕĨũý2ỪÕỈýỴQJýÊỐủýŨJGÚýŨỰẺýẺỬÕỈýẺỚủýÒJIÕýŨÔẰÕýĨIýŨĨỚÕỈýŨỞýẺĨWẺýỴẰýÕĨBÕýỌYẺủýŨÂÕỈýẺVRÕỈýẺẮẺýĨÔẶŨýÊỢÕỈýẺĨƯ@FÕýỎƠÕýỌOÕĨýỴYẺýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕýŨỤÔÕỈýẺẮẺýẺPýỦTýẩ21ủýÊẬẺýẸJIŨýÊE@ýỎẶÕĨýẺƠÕỈýŨẮẺýỈJẮỎýỦẮŨýŨƯBÕýŨĨỬýẺẮẺýÙƯ@ýŨỤLÕĨýÒJÍỎýỦÔẮŨýÕĨJÌỎýÒĨƯEÕýỴẰýỈJẮỎýỦẮŨýcẩ1ồủýỸB@ýẼYÕỈýỎƠJýŨỤVRÕỈýẸIÕĨýỴJIÕýỦẶẺĨủýĂÕýŨÔẰÕủýÕBÕỈýẺĂÔýẺĨCŨýỌVSÕỈýẺĨÂỎýỦỐẺủýÊJHƯýŨỤMýỦWẺýÒĨỔẾýÕỈVRJýẼBÕũýự/ÚửựÚýẺỌĂỦỦqyÚĩÔƯỤẺẾyử1ẰJýỴẰýẲÕĨùýằẰý1ẤẺự/Úử